﻿<%@ Page Title="CUPS Background" Language="vb" AutoEventWireup="false" MasterPageFile="~/Content/Site.Master" CodeBehind="background.aspx.vb" Inherits="CupsApp.Web.Form.background" %>
<%@ Register assembly="wwDataBinder" namespace="MsdnMag.Web.Controls" tagprefix="ww" %>
<%@ Register Assembly="AjaxControlToolkit" Namespace="AjaxControlToolkit" TagPrefix="asp" %>
<asp:Content ID="Content1" ContentPlaceHolderID="head" runat="server">
</asp:Content>
<asp:Content ID="Content2" ContentPlaceHolderID="ContentPlaceHolder1" runat="server">
    <div class="tabs">
 <div class="tab"><asp:LinkButton ID="lnkPersonal" Text = "Personal"   runat="server"   ></asp:LinkButton></div> <div class="tabSelected"><asp:LinkButton ID="lnkBackground" Enabled="false" Text="Background" runat="server"></asp:LinkButton></div> <div class="tab"><asp:LinkButton ID="lnkHealthLegal" Text = "Health / Legal" runat="server"></asp:LinkButton></div> 
 <div class="tab"><asp:LinkButton ID="lnkHousing" Text = "Housing" runat="server"></asp:LinkButton></div><div class="tab"><asp:LinkButton ID="lnkFollowUp" Text = "Follow-Up" runat="server"></asp:LinkButton></div><div class="tab"><asp:LinkButton ID="lnkStatus" Text = "Status" runat="server"></asp:LinkButton></div><div class="tab"><asp:LinkButton ID="lnkExit" Text = "Exit" runat="server"></asp:LinkButton></div>
</div>



<div class="Content">
<div class="FullRow1">
     <div class="FormHeading">
         <strong><asp:Label ID="Label1" runat="server" Text="SELECTED CLIENT"></asp:Label></strong>
    </div>
  </div>
<asp:FormView ID="FormView1" runat="server" DataSourceID="ObjectDataSource4" 
        Width="100%"> 
        <ItemTemplate >
        <b>First Name:</b><i><%# Eval("FirstName") %></i><br />
        <b>Last Name:</b> <i><%# Eval("LastName") %></i><br />
        <b>Phone No:</b> <i><%# Eval("Phone") %></i><br />
        <b>Email:</b> <i><%# Eval("Email") %></i><br />
        <b>Birth Date:</b> <i><%# Eval("BirthDate") %></i><br />
        </ItemTemplate>   
  </asp:FormView>
 <div class="filler">
         <center> <strong><asp:Label ID="lvlMsg" runat="server" ForeColor="#00CC00" ></asp:Label></strong></center></div><div class="filler"></div>
   <div class="FullRow1">
     <div class="FormHeading">
         <strong><asp:Label ID="lblBasicInfo" runat="server" Text="HOW LONG HAVE YOU BEEN HOMELESS?"></asp:Label></strong>
    </div>
  </div> 
  <div class="filler"></div>
   <div class="FullRow1">
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo1" runat="server" Text="Less than 1 month" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo1_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo1">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo2" runat="server" Text="1 - 3 Months" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo2_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo2">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo3" runat="server" Text="3 - 6 Months" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo3_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo3">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo4" runat="server" Text="6 - 12 Months" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo4_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo4">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
    </div>
  </div> 
  <div class="FullRow1"> 
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo5" runat="server" Text="1 - 2 Years" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo5_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo5">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo6" runat="server" Text="2 - 3 Years" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo6_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo6">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo7" runat="server" Text="3 - 4 Years" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo7_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo7">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo8" runat="server" Text="4 - 5 Years" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo8_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo8">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkBasicInfo9" runat="server" Text="More Than 5 Years" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkBasicInfo9_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="BasicInfo" TargetControlID="chkBasicInfo9">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
  </div>
 
  <div class="FullRow1">
     <div class="FormHeading">
            <strong><asp:Label ID="lblTimesHomeless" runat="server" Text="HOW MANY TIMES HAVE YOU BEEN HOMELESS IN THE LAST 3 YEARS?"></asp:Label></strong>
    </div>
  </div> 
   
  <div class="FullRow1"> 
  <div class="ContentRow4">
        <asp:CheckBox ID="chkTimesHomeless1" runat="server" Text="1" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimesHomeless1_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimesHomeless" TargetControlID="chkTimesHomeless1">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkTimesHomeless2" runat="server" Text="2" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimesHomeless2_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimesHomeless" TargetControlID="chkTimesHomeless2">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkTimesHomeless3" runat="server" Text="3" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimesHomeless3_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimesHomeless" TargetControlID="chkTimesHomeless3">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
    <div class="ContentRow4">
        <asp:CheckBox ID="chkTimesHomeless4" runat="server" Text="4 Or More" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimesHomeless4_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimesHomeless" TargetControlID="chkTimesHomeless4">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
  </div>
  
  <div class="FullRow1">
     <div class="FormHeading">
            <strong><asp:Label ID="lblRecently" runat="server" Text="WERE YOU RECENTLY..."></asp:Label></strong>
    </div>
  </div> 
  <div class="FullRow1">
     <div class="ContentRow1">
        <asp:Label ID="lblRecently1" runat="server" Text="Released from a correctional facility?"></asp:Label>
    </div> 
     <div class="ContentRow4">
        <asp:CheckBox ID="chkRecently1" runat="server" Text="Yes" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkRecently1_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="IsRecently" TargetControlID="chkRecently1">
         </asp:MutuallyExclusiveCheckBoxExtender>
         &nbsp;<asp:CheckBox ID="chkRecently2" runat="server" Text="No" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkRecently2_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="IsRecently" TargetControlID="chkRecently2">
         </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
     <div class="ContentRow1">
        <asp:Label ID="lblCorrectionTimes" runat="server" Text="If yes, how many months ago?"></asp:Label>
    </div>
    <div class="ContentRow5">
        <asp:CheckBox ID="chkCorrection1" runat="server" Text="1" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkCorrection1_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="MonthCorrection" TargetControlID="chkCorrection1">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkCorrection2" runat="server" Text="2" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkCorrection2_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="MonthCorrection" TargetControlID="chkCorrection2">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkCorrection3" runat="server" Text="3" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkCorrection3_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="MonthCorrection" TargetControlID="chkCorrection3">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkCorrection4" runat="server" Text="4" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkCorrection4_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="MonthCorrection" TargetControlID="chkCorrection4">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkCorrection5" runat="server" Text="5 or More" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkCorrection5_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="MonthCorrection" TargetControlID="chkCorrection5">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
  </div> 
    <div class="FullRow1">
     <div class="ContentRow1">
        <asp:Label ID="lblIsReleasedFromHealthFacility" runat="server" Text="Released from a health facility?"></asp:Label>
    </div> 
     <div class="ContentRow4">
        <asp:CheckBox ID="chkIsReleasedFromHealthFacility1" runat="server" Text="Yes" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkIsReleasedFromHealthFacility1_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="ReleasedHealth" 
             TargetControlID="chkIsReleasedFromHealthFacility1">
         </asp:MutuallyExclusiveCheckBoxExtender>
         &nbsp;<asp:CheckBox ID="chkIsReleasedFromHealthFacility2" runat="server" Text="No" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkIsReleasedFromHealthFacility2_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="ReleasedHealth" 
             TargetControlID="chkIsReleasedFromHealthFacility2">
         </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
     <div class="ContentRow1">
        <asp:Label ID="lblHealthReleaseTime" runat="server" Text="If yes, how many months ago?"></asp:Label>
    </div>
    <div class="ContentRow5">
        <asp:CheckBox ID="chkHealthReleaseTime1" runat="server" Text="1" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkHealthReleaseTime1_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="HealthReleaseTime" TargetControlID="chkHealthReleaseTime1">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkHealthReleaseTime2" runat="server" Text="2" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkHealthReleaseTime2_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="HealthReleaseTime" TargetControlID="chkHealthReleaseTime2">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkHealthReleaseTime3" runat="server" Text="3" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkHealthReleaseTime3_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="HealthReleaseTime" TargetControlID="chkHealthReleaseTime3">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkHealthReleaseTime4" runat="server" Text="4" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkHealthReleaseTime4_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="HealthReleaseTime" TargetControlID="chkHealthReleaseTime4">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkHealthReleaseTime5" runat="server" Text="5 or More" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkHealthReleaseTime5_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="HealthReleaseTime" TargetControlID="chkHealthReleaseTime5">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
  </div> 
  <div class="FullRow1">
     <div class="ContentRow1">
        <asp:Label ID="lblIsReleaseFoster" runat="server" Text="Released from foster care?"></asp:Label>
    </div> 
     <div class="ContentRow4">
        <asp:CheckBox ID="chkIsReleaseFoster1" runat="server" Text="Yes" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkIsReleaseFoster1_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="IsTimeFoster" TargetControlID="chkIsReleaseFoster1">
         </asp:MutuallyExclusiveCheckBoxExtender>
         &nbsp;<asp:CheckBox ID="chkIsReleaseFoster2" runat="server" Text="No" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkIsReleaseFoster2_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="IsTimeFoster" TargetControlID="chkIsReleaseFoster2">
         </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
     <div class="ContentRow1">
        <asp:Label ID="lblTimeFoster" runat="server" Text="If yes, how many months ago?"></asp:Label>
    </div>
    <div class="ContentRow5">
        <asp:CheckBox ID="chkTimeFoster1" runat="server" Text="1" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimeFoster1_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimeFoster" TargetControlID="chkTimeFoster1">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkTimeFoster2" runat="server" Text="2" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimeFoster2_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimeFoster" TargetControlID="chkTimeFoster2">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkTimeFoster3" runat="server" Text="3" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimeFoster3_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimeFoster" TargetControlID="chkTimeFoster3">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkTimeFoster4" runat="server" Text="4" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimeFoster4_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimeFoster" TargetControlID="chkTimeFoster4">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkTimeFoster5" runat="server" Text="5 or More" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkTimeFoster5_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="TimeFoster" TargetControlID="chkTimeFoster5">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
  </div> 
  <div class="FullRow1">
     <div class="ContentRow1">
        <asp:Label ID="lblEvictedFromResidence" runat="server" Text="Evicted from a residence?"></asp:Label>
    </div> 
     <div class="ContentRow4">
        <asp:CheckBox ID="chkIsEvicted1" runat="server" Text="Yes" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkIsEvicted1_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="IsEvicited" TargetControlID="chkIsEvicted1">
         </asp:MutuallyExclusiveCheckBoxExtender>
         &nbsp;<asp:CheckBox ID="chkIsEvicted2" runat="server" Text="No" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkIsEvicted2_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="IsEvicited" TargetControlID="chkIsEvicted2">
         </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
     <div class="ContentRow1">
        <asp:Label ID="lblEvictedTime" runat="server" Text="If yes, how many months ago?"></asp:Label>
    </div>
    <div class="ContentRow5">
        <asp:CheckBox ID="chkEvictedTime1" runat="server" Text="1" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEvictedTime1_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EvictedTime" TargetControlID="chkEvictedTime1">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkEvictedTime2" runat="server" Text="2" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEvictedTime2_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EvictedTime" TargetControlID="chkEvictedTime2">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkEvictedTime3" runat="server" Text="3" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEvictedTime3_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EvictedTime" TargetControlID="chkEvictedTime3">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkEvictedTime4" runat="server" Text="4" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEvictedTime4_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EvictedTime" TargetControlID="chkEvictedTime4">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkEvictedTime5" runat="server" Text="5 or More" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEvictedTime5_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EvictedTime" TargetControlID="chkEvictedTime5">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
  </div> 
  <div class="FullRow1">
     <div class="FormHeading">
            <strong><asp:Label ID="lblIncome" runat="server" Text="CURRENT SOURCE(S) OF INCOME ( Check all that apply )"></asp:Label></strong>
    </div>
  </div> 
<div class="FullRow1">
    <div class="ContentRow2">
        <asp:CheckBox ID="chkIncome1" runat="server" Text="AISH" />
    </div>
    <div class="ContentRow2">
        <asp:CheckBox ID="chkIncome2" runat="server" 
            Text="Alberta Works / Income Support" />
    </div>
    <div class="ContentRow2">
        <asp:CheckBox ID="chkIncome3" runat="server" Text="Employment Insurance (EI)" />
    </div>
    <div class="ContentRow2">
        <asp:CheckBox ID="chkIncome4" runat="server" Text="Pension" />
    </div>
  </div> 
  <div class="FullRow1"> 
    <div class="ContentRow2">
        <asp:CheckBox ID="chkIncome5" runat="server" Text="Full-time Employment" />
    </div>
    <div class="ContentRow2">
        <asp:CheckBox ID="chkIncome6" runat="server" Text="Part-time Employment" />
    </div>
    <div class="ContentRow2">
        <asp:CheckBox ID="chkIncome7" runat="server" Text="No Income" />
    </div>
    <div class="ContentRow2">
        <asp:CheckBox ID="chkIncome8" runat="server" Text="Other" />
    </div>
  </div>
  <div class="FullRow1">
     <div class="FormHeading">
            <strong><asp:Label ID="lblEmployment" runat="server" Text="EMPLOYMENT STATUS"></asp:Label></strong>
    </div>
  </div> 
  <div class="FullRow1">
     <div class="ContentRow1">
        <asp:Label ID="lblIsEmployed" runat="server" Text="Are you currently employed?"></asp:Label>
    </div> 
     <div class="ContentRow4">
        <asp:CheckBox ID="chkIsEmployed1" runat="server" Text="Yes" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkIsEmployed1_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="IsEmployedTime" TargetControlID="chkIsEmployed1">
         </asp:MutuallyExclusiveCheckBoxExtender>
         &nbsp;<asp:CheckBox ID="chkIsEmployed2" runat="server" Text="No" />
         <asp:MutuallyExclusiveCheckBoxExtender ID="chkIsEmployed2_MutuallyExclusiveCheckBoxExtender" 
             runat="server" Enabled="True" Key="IsEmployedTime" TargetControlID="chkIsEmployed2">
         </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
     <div class="ContentRow1">
        <asp:Label ID="lblEmployedTime" runat="server" Text="If yes, how many months ago?"></asp:Label>
    </div>
    <div class="ContentRow5">
        <asp:CheckBox ID="chkEmployedTime1" runat="server" Text="1" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEmployedTime1_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EmployedTime" TargetControlID="chkEmployedTime1">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkEmployedTime2" runat="server" Text="2" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEmployedTime2_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EmployedTime" TargetControlID="chkEmployedTime2">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkEmployedTime3" runat="server" Text="3" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEmployedTime3_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EmployedTime" TargetControlID="chkEmployedTime3">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkEmployedTime4" runat="server" Text="4" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEmployedTime4_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EmployedTime" TargetControlID="chkEmployedTime4">
        </asp:MutuallyExclusiveCheckBoxExtender>
        &nbsp;&nbsp;
         <asp:CheckBox ID="chkEmployedTime5" runat="server" Text="5 or More" />
        <asp:MutuallyExclusiveCheckBoxExtender ID="chkEmployedTime5_MutuallyExclusiveCheckBoxExtender" 
            runat="server" Enabled="True" Key="EmployedTime" TargetControlID="chkEmployedTime5">
        </asp:MutuallyExclusiveCheckBoxExtender>
    </div>
  </div> 
  <div class="FullRow1">
  <asp:HiddenField ID="Client_ID" runat="server" />
     <hr/>
     
     <center><asp:Button ID="btnSave" runat="server" Text="Save" Width="83px" /></center>
  </div>
    
  <br />

</div>
        <ww:wwDataBinder ID="wwDataBinder1" runat="server">
        <DataBindingItems>
            <ww:wwDataBindingItem ID="WwDataBindingItem1" runat="server" ControlId="lblBasicInfo" BindingMode="OneWay" 
                BindingSource="_data" BindingSourceMember="QuestionsText[lblBasicInfo]">
            </ww:wwDataBindingItem>
            <ww:wwDataBindingItem ID="WwDataBindingItem2" runat="server" ControlId="chkBasicInfo1" BindingMode="TwoWay" 
                BindingSource="_data" BindingSourceMember="AnswersText[chkBasicInfo1]" BindingProperty="Checked">
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